MRS. JESSICA LYNN DOUGLAS FNP-BC
NPI 1811376601
Nurse Practitioner - Family in Lake City, FL
About Mrs. Jessica Lynn Douglas Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSICA LYNN DOUGLAS FNP-BC (NPI 1811376601) is an individual family provider in Lake City, Florida, licensed in Florida (APRN9310684) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jessica Lynn Douglas Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake City, FL 32024
- Reassigned Medicare billing, Florida enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Florida Lake City Hospital
Acute Care Hospitals · Lake City, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE CITY, FL 32024
LAKE CITY, FL 32024
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Douglas's NPI number?
The NPI number for Jessica Douglas is 1811376601. It was assigned to this individual provider in the NPPES registry on May 26, 2015.
Where is Jessica Douglas located?
Jessica Douglas practices at 289 SW Stonegate Ter Ste 103, Lake City, FL 32024. The listed phone number is (386) 755-1655.
What is Jessica Douglas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Douglas enrolled in Medicare?
Yes. Jessica Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jessica Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Douglas reassigns Medicare benefits to Lake City Cancer Care LLC (Lake City, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jessica Douglas affiliated with any hospitals?
According to CMS data, Jessica Douglas is affiliated with Hca Florida Lake City Hospital.
When was this NPI record last updated?
The NPPES record for Jessica Douglas was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Jessica Lynn Douglas, FNP-BC · NPI 1811376601
Family physician in Lake City, Florida. Individual provider, active in the CMS NPPES registry since May 26, 2015.
## Identity
- **NPI:** 1811376601 (Entity type: Individual)
- **Enumerated:** May 26, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN9310684 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 289 SW STONEGATE TER STE 103, Lake City, FL 32024-3457
- **Phone:** (386) 755-1655 · **Fax:** (386) 628-9231
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lake City Cancer Care LLC (NPI 1396132213, Lake City, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811376601) · Data from the CMS NPPES public registry.